Organization Name: | WAYNE Y CHIN D.P.M. PLLC |
NPI Number: | 1134246457 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WAYNE YUCK CHIN (CEO) |
Mailing Address: | 20190 Market St. Onancock |
State: | VA US |
Postal Code: | 234171330 |
Phone Number: | 7577893402 |
Fax Number: | 7577893862 |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 08/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | 0103300934 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |